阻塞性睡眠呼吸暂停和听力损失之间的关联在紧急救援人员队列中
David W Appel1,2, David G Goldfarb3,4,5, Rachel Zeig-Owens1,2,6
1The Bureau of Health Services and the FDNY World Trade Center Health Program, Fire Department of the City of New York, Brooklyn, NY, USA.
Sleep & breathing = Schlaf & Atmung
|May 6, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 的风险或严重程度较高的紧急响应者增加了感觉神经听力损失 (HL) 的几率. 这凸显了针对该群体的OSA和HL综合干预的必要性.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 听力学 听力学是指听力学.
背景情况:
- 职业暴露会增加各种健康状况的风险.
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍,具有潜在的全身健康影响.
- 感官神经听力损失 (HL) 可以显著影响生活质量和职业功能.
研究的目的:
- 调查阻塞性睡眠呼吸暂停 (OSA) 风险和严重程度与神经感官听力损失 (HL) 之间的关联.
- 为了评估这一关联,特别是在紧急响应人员队伍中进行评估.
主要方法:
- 利用来自紧急响应人员队列的数据,包括听力测量,柏林问卷 (对OSA风险) 和多睡眠图 (PSG) 数据 (对OSA严重程度).
- 使用后勤回归分析,调整潜在的混因素,以评估OSA指标和HL之间的关系.
- 使用柏林问卷标准对OSA风险进行分类,使用PSG的呼吸暂停-呼吸暂停指数 (AHI) 对OSA严重程度进行分类.
主要成果:
- 具有高和非常高OSA风险的参与者在语音频率 (ORs从1.34到1.56) 上显示出HL的几率明显更高.
- 组合高和非常高的OSA风险类别显示,在语音频率下,HL的几率增加了41%.
- 根据PSG的判断,严重的OSA与语音频率 (OR = 1.33) 的HL调整几率增加有关.
结论:
- 在紧急救援人员中,阻塞性睡眠呼吸暂停 (OSA) 和感觉神经听力损失 (HL) 之间存在显著的关联.
- 需要进一步的研究来探索纵向关联和潜在的因果关系.
- 建议对这一群体进行针对OSA和HL的综合健康干预.
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